Groteke, Alessandra
Groteke, Alessandra is an individual health care provider with primary practice located at 9320 State Road 54 , Trinity FL 34655-1808. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Groteke, Alessandra can be contacted via phone (727) 842-8411.Contact Information
Primary practice address
9320 State Road 54
Trinity FL 34655-1808
Phone: (727) 842-8411
Fax: (877) 917-2336
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 11015323 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN11015323 | Florida |
Profile Details
NPI number | 1255000592 |
---|---|
LBN Legal business name | Groteke, Alessandra |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2021 |
Last updated | Apr 2nd, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255000592 | NPPES |
Florida | MEDICAID | 121474100 |
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